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Article: Influence of health education on clinical parameters in type 2 diabetic subjects with and without hypertension: A longitudinal, comparative analysis in routine primary care settings

TitleInfluence of health education on clinical parameters in type 2 diabetic subjects with and without hypertension: A longitudinal, comparative analysis in routine primary care settings
Authors
KeywordsDiabetes
Hypertension
Routine primary care
Long-term follow-up
Comparative study
Issue Date2020
PublisherElsevier Ireland Ltd. The Journal's web site is located at http://www.elsevier.com/locate/diabres
Citation
Diabetes Research and Clinical Practice, 2020, v. 170, p. article no. 108539 How to Cite?
AbstractAim: To assess the influence of health education for type 2 diabetic patients with and without coexisting hypertension in routine primary care where intensive educational consultations were absent. Methods: A longitudinal cohort was constructed from 342 diabetic subjects who previously had regular exposure to face-to-face health education delivered quarterly during 2016–2017 under the national basic public health (BPH) service provision in an urbanised township in China. Clinical parameters were retrieved electronically from computerised BPH data platform at prior check-ups (2016–2017) and at the most recent check-up (2019). Results: The satisfactory clinical improvements upon health education were not sustained during subsequent observational years among study subjects. A significant increase in total cholesterol (0.28 mmol/L for between-group net changes, 95% confidence interval [CI] = 0.01–0.55 mmol/L, p = 0.039) were observed in diabetic subjects with coexisting hypertension. Older patients (adjusted odds ratio [aOR] = 0.87, 95%CI = 0.83–0.91, p less than 0.001), males (aOR = 0.50, 95%CI = 0.26–0.98, p = 0.043), and subjects with lower education level (aOR = 0.34, 95%CI = 0.17–0.67, p = 0.002) were less likely to maintain improvement of biomedical parameters. Conclusion: The influence of face-to-face health education may not be prolonged in routine primary care where intensive provisions of educational consultations were less common. Diabetic patients with coexisting hypertension tend to have more difficulties in maintaining optimal lipid profiles.
DescriptionHybrid open access
Persistent Identifierhttp://hdl.handle.net/10722/295296
ISSN
2023 Impact Factor: 6.1
2023 SCImago Journal Rankings: 1.340
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorHu, XJ-
dc.contributor.authorWu, HF-
dc.contributor.authorLi, YT-
dc.contributor.authorWang, Y-
dc.contributor.authorCheng, H-
dc.contributor.authorWang, JJ-
dc.contributor.authorMohammed, BH-
dc.contributor.authorTan, I-
dc.contributor.authorWang, HHX-
dc.date.accessioned2021-01-11T13:58:06Z-
dc.date.available2021-01-11T13:58:06Z-
dc.date.issued2020-
dc.identifier.citationDiabetes Research and Clinical Practice, 2020, v. 170, p. article no. 108539-
dc.identifier.issn0168-8227-
dc.identifier.urihttp://hdl.handle.net/10722/295296-
dc.descriptionHybrid open access-
dc.description.abstractAim: To assess the influence of health education for type 2 diabetic patients with and without coexisting hypertension in routine primary care where intensive educational consultations were absent. Methods: A longitudinal cohort was constructed from 342 diabetic subjects who previously had regular exposure to face-to-face health education delivered quarterly during 2016–2017 under the national basic public health (BPH) service provision in an urbanised township in China. Clinical parameters were retrieved electronically from computerised BPH data platform at prior check-ups (2016–2017) and at the most recent check-up (2019). Results: The satisfactory clinical improvements upon health education were not sustained during subsequent observational years among study subjects. A significant increase in total cholesterol (0.28 mmol/L for between-group net changes, 95% confidence interval [CI] = 0.01–0.55 mmol/L, p = 0.039) were observed in diabetic subjects with coexisting hypertension. Older patients (adjusted odds ratio [aOR] = 0.87, 95%CI = 0.83–0.91, p less than 0.001), males (aOR = 0.50, 95%CI = 0.26–0.98, p = 0.043), and subjects with lower education level (aOR = 0.34, 95%CI = 0.17–0.67, p = 0.002) were less likely to maintain improvement of biomedical parameters. Conclusion: The influence of face-to-face health education may not be prolonged in routine primary care where intensive provisions of educational consultations were less common. Diabetic patients with coexisting hypertension tend to have more difficulties in maintaining optimal lipid profiles.-
dc.languageeng-
dc.publisherElsevier Ireland Ltd. The Journal's web site is located at http://www.elsevier.com/locate/diabres-
dc.relation.ispartofDiabetes Research and Clinical Practice-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectDiabetes-
dc.subjectHypertension-
dc.subjectRoutine primary care-
dc.subjectLong-term follow-up-
dc.subjectComparative study-
dc.titleInfluence of health education on clinical parameters in type 2 diabetic subjects with and without hypertension: A longitudinal, comparative analysis in routine primary care settings-
dc.typeArticle-
dc.identifier.emailMohammed, BH: bedru@hku.hk-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1016/j.diabres.2020.108539-
dc.identifier.pmid33161048-
dc.identifier.scopuseid_2-s2.0-85096429257-
dc.identifier.hkuros320765-
dc.identifier.volume170-
dc.identifier.spagearticle no. 108539-
dc.identifier.epagearticle no. 108539-
dc.identifier.isiWOS:000602341800006-
dc.publisher.placeIreland-

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